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Influence of constipation on enuresis
María Rodríguez-Ruiz1, Roberto Mendez-Gallart2, Manuel García Mérida3
1Servicio de Cirugía Pediátrica, Hospital Materno Infantil, Complexo Hospitalario Universitario de A Coruña, A Coruña, Spain.
Anales De Pediatria
|August 10, 2021
Summary
Constipation impacts non-monosymptomatic enuresis and lower urinary tract dysfunction in children. Differentiating enuresis types is crucial for effective treatment, as constipation is a risk factor only for non-monosymptomatic enuresis.
Area of Science:
- Pediatric Urology
- Gastroenterology
- Public Health
Background:
- Constipation is traditionally viewed as a risk factor for enuresis.
- Recent studies indicate similar constipation prevalence in enuretic and non-enuretic children, questioning this link.
Purpose of the Study:
- To investigate the influence of constipation on monosymptomatic and non-monosymptomatic enuresis.
- To determine the prevalence of enuresis, lower urinary tract dysfunction (LUTD), and bladder-bowel dysfunction (BBD) in children.
Main Methods:
- A cross-sectional study of 772 school children aged 5-9 in Galicia, Spain.
- Questionnaires assessed urinary and bowel habits, using the Paediatric Lower Urinary Tract Scoring System (PLUTSS).
- Enuresis diagnosed via International Children's Continence Society (ICSS) criteria; constipation by Rome III criteria and Bristol stool scale.
Main Results:
- Prevalence: Constipation 20%, Enuresis 9.1% (62.9% monosymptomatic, 37.1% non-monosymptomatic), BBD 5.2%.
- Constipation did not influence monosymptomatic enuresis.
- Constipation was a significant risk factor for non-monosymptomatic enuresis and LUTD.
Conclusions:
- Distinguishing between monosymptomatic and non-monosymptomatic enuresis is vital for accurate diagnosis and treatment.
- Constipation is a risk factor specifically for non-monosymptomatic enuresis, not monosymptomatic enuresis.
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